Study Partner 196👨🏻‍⚕️👩🏻‍⚕️
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A 32-year-old woman presents with 2ry amenorrhea for 3months. Her pregnancy test is negative. She noticed vaginal dryness and episodes of sweating by night, her FSH: 45 IU/L, her LH: 30 IU/L, her PRL: 25ng/ml. Most probable cause of amenorrhea is:
Anonymous Quiz
8%
Hyperprolactinemia.
0%
Microadenoma.
88%
POI (premature ovarian insufficiency)
4%
PCO (polycystic ovarian disease).
0%
Pregnancy
An 18-year-old female presents with Iry amenorrhea. She has well developed breast, sparse pubic and axillary hairs, and blind ending vagina. Most likely diagnosis:
Anonymous Quiz
31%
a. Mullerian agenesis
4%
b. POI
50%
AIS
12%
d. Congenital adrenal hyperplasia (CAH).
4%
e. PCO
A 14-year-old girl with Iry amenorrhea, had non developed pubic and axillary hair, and no breast development. Her FSH: 34 IU/L, LH: 30 IU/L. She is most likely:
Anonymous Quiz
16%
Kallman syndrome
0%
AIS
28%
MRKH Syndrome. d. Turner syndrome
8%
POI (premature ovarian insufficiency).
48%
Turner syndrome
An 18-year-old girl presents with Iry amenorrhea. She reports vaginal bleeding following a hormone withdrawal test. The following conditions is most likely EXCLUDED:
Anonymous Quiz
46%
Mullerian agenesis.
21%
b. Hypothalamic amenorrhea.
4%
POI
8%
d. PCO
21%
e Turner syndrome.
All the following are likely diagnoses in a 16-year-old girl with Iry amenorrhea but normal 2ry sexual characters EXCEPT:
Anonymous Quiz
24%
Androgen insensitivity syndrome a.
0%
b. Uterine agenesis.
68%
c. Kallman's syndrome.
4%
d. Vaginal atresia.
4%
e. Imperforate hymen.
A 68-year-old woman presents with vaginal dryness and dyspareunia. She is on no medications nor HRT. TVS is normal. PV shows loss of rugae. Most appropriate next step:
Anonymous Quiz
0%
Outpatient hysteroscopy to assess the endometrium.
35%
Transdermal continuous combined HRT
8%
Water based vaginal lubricants.
58%
Estrogen-containing vaginal pessaries.
The effect of which hormone causes arborization on Fern test:
Anonymous Quiz
13%
Estrone.
75%
b Estradiol.
6%
Estriol
3%
d Progesterone.
3%
e Testosteron
Several follicles begin to grow in a menstrual cycle. Their ultimate fate is:
Anonymous Quiz
7%
Ovulation
13%
b Dominance.
3%
c. Cyst formation
63%
d. Atresia.
13%
e. Regression.
An 8-year-old sickle cell patient arrives at the emergency room in respiratory distress. the child has become progressively tired and pale. Which if the following viruses is suspected to be the cause
Anonymous Quiz
0%
Coxsacki a16
10%
Echovirus 11
10%
Herps simplex
80%
Parvovirus B19
On routine newborn screen, a two-week-old child in your clinic is noted to have a sickle cell disease. As you discuss treatment options with his family, which of the following is the most appropriate
Anonymous Quiz
0%
Education of the parents regarding abdominal palpitation and temperature taking
0%
Infusions of immunoglobulin every 6 weeks
83%
Meningococcal vaccine at 2,4, 6 months of age
17%
Monthly injections of Vitamin B12